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1306031190
MARCUS VERNON MEDALEN
RAPID CITY, SD
NPI
1306031190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 121)
Enumeration Date
2007-09-13
Last Update Date
2007-09-13
Business Address
-- MARCUS VERNON MEDALEN PT
916 MT VIEW RD
RAPID CITY, SD 57702-2521
Phone number: 605-343-8577
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Mailing Address
-- MARCUS VERNON MEDALEN PT
916 MT VIEW RD
RAPID CITY, SD 57702-2521
Phone number: 605-343-8577
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